Individual
MS. STACEY YOLANDA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1302 SOUTHVIEW RD, BALTIMORE, MD 21218-1425
(410) 467-9657
Mailing address
1302 SOUTHVIEW RD, BALTIMORE, MD 21218-1425
(410) 467-9657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R125820
MD
163W00000X
Registered Nurse
RN1012443
DC
Other
Enumeration date
06/13/2010
Last updated
06/13/2010
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